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JODIE K TIMBERLAKE
NPI 1619219789
Military Health Care Provider in Wright Patterson Afb, OH

Active since March 26, 2013
2325 5TH ST BLDG 675, WRIGHT PATTERSON AFB, OH 45433(937) 257-0837 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jodie K Timberlake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODIE K TIMBERLAKE (NPI 1619219789) is an individual military health care provider provider in Wright Patterson Afb, Ohio, licensed in Virginia (0101257066) and active in the NPI registry since March 2013. She maintains a secondary practice location in Lackland A F B.

NPPES Registry Identity

NPI1619219789
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameJODIE K TIMBERLAKE
Location Address2325 5TH ST BLDG 675Wright Patterson Afb, OH 45433-7505
Mailing Address2510 5th St Bldg 840Wright Patterson Afb, OH 45433-7951 · (937) 938-3630
Phone(937) 257-0837
Sole ProprietorNo
Enumeration DateMarch 26, 2013
Last NPPES UpdateFebruary 28, 2022
NPPES CertifiedFebruary 28, 2022
✔ NPI 1619219789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in VA · 0101257066
Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2325 5TH ST BLDG 675, Wright Patterson Afb, OH 45433
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Secondary Practice Location 1

Location 12200 Bergquist Dr, Willford Hall Ambulatory Surgical CenterLackland A F B, TX 78236-9907 · Phone (210) 292-5077 · Fax (210) 292-7868

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRETCHEN LYN HAYWOOD AUD
Audiologist
2325 5TH ST BLDG 675
WRIGHT PATTERSON AFB, OH 45433
Greene County (708) 724-2644
DR. ALDEN DOUGLAS HILTON SR. M.D., M.P.H.
Preventive Medicine (Aerospace Medicine)
2325 5TH ST BLDG 675
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 255-1704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodie Timberlake's NPI number?

The NPI number for Jodie Timberlake is 1619219789. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Jodie Timberlake located?

Jodie Timberlake practices at 2325 5th St Bldg 675, Wright Patterson Afb, OH 45433. The listed phone number is (937) 257-0837.

What is Jodie Timberlake's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Jodie Timberlake was last updated on February 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.